Provider Demographics
NPI:1306076542
Name:NAIDU, VEENA G (MD)
Entity type:Individual
Prefix:MRS
First Name:VEENA
Middle Name:G
Last Name:NAIDU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:203 SAPPHIRE VLY
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-4285
Mailing Address - Country:US
Mailing Address - Phone:864-247-0831
Mailing Address - Fax:864-261-1856
Practice Address - Street 1:203 SAPPHIRE VLY
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-4285
Practice Address - Country:US
Practice Address - Phone:864-634-9097
Practice Address - Fax:864-261-1856
Is Sole Proprietor?:No
Enumeration Date:2009-07-22
Last Update Date:2015-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC32082207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC32084Medicaid
SC38170281Medicare PIN